Cleburne County Nursing Home - Heflin Nursing Home
General Information
UPDATEFederal Provider Number
15053
Provider Name
CLEBURNE COUNTY NURSING HOME
Provider Address
122 BROCKFORD ROAD
HEFLIN, AL 36264
HEFLIN, AL 36264
Provider Phone Number
2564632121
Provider SSA County
140
Provider County Name
Cleburne
Ownership Type
Government - City/county
Number of Certified Beds
82
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLEBURNE COUNTY HOSPITAL BOARD, INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22115
Reported LPN Staffing Hours per Resident per Day
1.24038
Reported RN Staffing Hours per Resident per Day
0.52500
Reported Licensed Staffing Hours per Resident per Day
1.76538
Reported Total Nurse Staffing Hours per Resident per Day
3.98653
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01474
Expected CNA Staffing Hours per Resident per Day
2.16089
Expected LPN Staffing Hours per Resident per Day
0.61372
Expected RN Staffing Hours per Resident per Day
0.91471
Expected Total Nurse Staffing Hours per Resident per Day
3.68932
Adjusted CNA Staffing Hours per Resident per Day
2.52213
Adjusted LPN Staffing Hours per Resident per Day
1.67750
Adjusted RN Staffing Hours per Resident per Day
0.42886
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35563
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
239
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
239
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2014-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
153.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
142870
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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